| Sara Pattavina Moulton, Limhp, P.c. | |
|
1804 S 116th St Omaha NE 68144-2902 | |
| (402) 312-0177 | |
| (402) 939-0141 |
| Full Name | Sara Pattavina Moulton, Limhp, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1804 S 116th St, Omaha, Nebraska |
| Authorized Official Name and Position | Sara E Pattavina Moulton (PRESIDENT) |
| Authorized Official Contact | 4023120177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Pattavina Moulton, Limhp, P.c. 1804 S 116th St Omaha NE 68144-2902 Ph: (402) 312-0177 | Sara Pattavina Moulton, Limhp, P.c. 1804 S 116th St Omaha NE 68144-2902 Ph: (402) 312-0177 |
| NPI Number | 1447537220 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 7517125123 |
|---|---|
| Medicare Enrollment ID | O20120228000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447537220 | NPI | - | NPPES |
| 10026137800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara E Pattavina Moulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497815443 PECOS PAC ID: 6002817350 Enrollment ID: I20070129000762 |
Santa Monica Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 39th St, Omaha, NE 68131 Phone: 402-558-7088 Fax: 402-558-7133 | |
Alphaomega Counseling&consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St Ste 538, Omaha, NE 68105 Phone: 402-515-4874 | |
Charles Drew Health Center, Inc At Siena Francis House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 North 17th Street, Omaha, NE 68102 Phone: 402-346-8401 Fax: 402-453-2061 | |
Hill Counseling And Consulting, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 S 42nd St, Suite 129, Omaha, NE 68105 Phone: 402-871-9979 Fax: 402-614-9947 | |
Deborah L. Winckler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11330 Q St, Ste # 219, Omaha, NE 68137 Phone: 402-490-3672 Fax: 402-597-2349 | |
Serenity Psychodynamics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11605 Arbor St, Suite 102, Omaha, NE 68144 Phone: 402-330-4700 Fax: 402-330-8815 | |
Completely Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Saint Marys Ave, Omaha, NE 68105 Phone: 402-397-5809 |